Release of Civil Registry Causes of Death Data in Iran (2015 to 2019) - Expectations and Doubts!

Abstract

Background: The National Organization for Civil Registration (NOCR) of Iran has reported causes of death data by ICD-10 chapters for the first time in 2020. Methods: We used this report to review the share of ICD chapters among all deaths in each province and compare them with the Global Burden of Disease (GBD) study. Results: There are major changes in the distribution of causes of death between 2017 and 2018, especially in D50-D89 (Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism) from 0.76% to 38.94%, and I00-I99 (Diseases of the circulatory system) from 39.27% to 7.09%. Such dramatic changes are probably the results of changes in coding practices or definitions or issues in analysis. Conclusion: Causes of death reports should be timely, clear, and robust on methods. They should contain a minimum level of details, at least 3-digit ICD codes to be useful for public health and medical professionals.

The age and cause decomposition of inequality in life expectancy between Iranian provinces: application of Arriaga method

“…The death data occur in hospitals, health houses and health centers, forensic medicine bureau, authorized cemeteries, civil registration bureau and other probable sources are reported to MOHME. Subsequently, the staff of National Organization for Civil Registration (NOCR) of Iran classifies the leading cause of death by International Classification of Diseases (ICD) codes [ 14 , 15 ].…”

The contribution of metabolic risk factors to cardiovascular mortality in Golestan cohort study: Population attributable fraction estimation

“…According to the results of the global burden of diseases study in 2019, 8026 per 100,000 people in Iran suffered from cardiovascular disease [ 1 ]. Also, cardiovascular diseases were the cause of 173,600 deaths in Iran in 2019, accounting for 44.4 % of the country's total casualties [ 1 , 2 ].…”